Application for payment of tax or additional tax

[See Rule 12] The Uttarakhand Motor Vehicles Taxation Reforms Act, 2003 Application for payment of tax or additional tax PART - I (To be completed by the owner of a motor vehicle)

1. I, ......................................................... hereby apply for payment of tax from …………........................to ................................. issued by the Regional Transport Officer/Assistant Regional Transport officer ........................... under the Uttarakhand Motor Vehicles Taxation Reforms Act, in respect of my motor vehicle registered as No. ……………………... 2. I attach hereto the registration certificate and certificate in respect of tax issued for the said motor vehicle for perusal and return to me. Signature of the Owner, Date……………….. Region/sub-region PART-II (To be completed by the Taxation Officer)

Certified that a sum of Rs. ...........................is due and has been paid as an instalment of tax in respect of Motor Vehicle No. ………………. Signature of the Taxation Officer, Date……………….. Region/sub-region

PART-III (To be completed by the Taxation Officer in the case of vehicle registered in a region/sub-region other than the region/sub-region wherein the above has been paid) Office of the Regional/Assistant Regional Transport Officer Region/Sub-Region..........................Letter No...........................Date.....................

Copy forwarded to the Regional Transport Officer/Assistant Regional Transport Officer…………........ Region/Sub-region for information and necessary action. ………………………….. Signature of the Taxation Officer Date .................................. Region/sub-region